PMID: 9420105Jan 7, 1998Paper

The impact of the quantity of skeletal injury on mortality and pulmonary morbidity

The Journal of Trauma
B H ZiranJ H Wilber

Abstract

To determine if the quantity of skeletal injuries (and the timing to fixation) increases the mortality or pulmonary morbidity in patients with and without chest injuries. Retrospective analysis of trauma registry. Statistical analysis with multiple logistic regression and chi(2) analysis. Looking specifically at adult patients (> 16 years), skeletal injury was quantified by determining the presence or absence of a fracture in specific body regions (humeri, forearm, femur, tibia, spine, and pelvis) for a maximum of 10 skeletal injuries. The timing of fixation for fractures was categorized as < 24 hours, < 48 hours, < 72 hours, < 5 days, > 5 days, or no fixation. Chest injuries and pulmonary morbidity were based on the accepted list of complications reported in the literature. Three groups were analyzed according to the presence or absence of a chest or skeletal injury: those without skeletal injury (group NSI, n = 59), those without chest injuries (group NCI, n = 108), and those with both skeletal and chest injuries (group B, n = 59) Pulmonary Complications: When all patient groups (NCI, NSI, and B) were pooled, greater chest injury (p < 0.0008), greater skeletal injury (p < 0.02), and delayed fixation (p < 0.04) were associated...Continue Reading

References

May 1, 1979·The Journal of Trauma·J A StürmH Tscherne
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Citations

Jan 30, 2003·The Journal of Emergency Medicine·James F HolmesWilliam R Mower
Jan 6, 2009·The Journal of Bone and Joint Surgery. American Volume·Saam MorshedJohn M Colford
Jul 25, 2014·The Journal of Trauma and Acute Care Surgery·Nickolas J NahmHeather A Vallier
Sep 2, 2008·Journal of Orthopaedic Trauma·Lisa K CannadaMichael J Bosse
Jun 11, 2002·International Anesthesiology Clinics·Lorri A LeeArthur M Lam
Jan 5, 2013·Injury·Marc BanerjeeUNKNOWN German Trauma Registry Group
Sep 6, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·J F HolmesW R Mower
Sep 15, 2010·The Journal of Trauma·Heather A VallierJohn H Wilber
Apr 24, 2013·The Journal of Trauma and Acute Care Surgery·Nickolas J NahmHeather A Vallier
Oct 3, 2006·Current Opinion in Anaesthesiology·P J Andrews
Jun 10, 2004·Clinical Orthopaedics and Related Research·Steven A Olson
Nov 4, 2004·The Journal of Bone and Joint Surgery. American Volume·Timothy O WhiteC Michael Robinson
May 8, 2000·The Journal of the American Academy of Orthopaedic Surgeons·R J Brumback, W W Virkus

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